lOMoARcPSD|12989960 Updated Community Health Exam 2 Blueprint Community Health Nursing (Texas Lutheran University) Studocu is not sponsored or endorsed by any college or university Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 fNURS 440 Exam 2 Blueprint Ch. 21 Family health risks 1. Know the significant categories of risk related to health. The process of assessing the presence of specific factors within each category that have been identified as being associated with an increased likelihood of an illness or an unhealthy event is called health: -risk appraisal A nurse is working with a family member to reduce his health risk. Which of the following recommendations would most likely be made by the nurse? -be sure to take a 30-minute walk each day A nurse is appraising health risks. Which of the following questions would most likely be asked by the nurse? -does your 4-year-old have a booster seat in the car? A nurse is conducting a health risk appraisal. Which of the following activities is the nurse assessing when using this tool? -unhealthy activities 2. Know what would be considered a family crisis. **family crisis is when the family is not able to cope with an event and becomes disorganized or dysfunctional** Which situation is considered a family crisis? -Husband loses job and family is now homeless A nurse is completing a health risk appraisal with a client. Which of the following comments would cause the nurse to probe further to determine if the family is in crisis? -“I don’t know what to do now that my husband is dead. There is no way I can go back to work and also take care of our three children.” 3. Know normative life events and how this can increase the risk of illness. **non-normative life events are unpredictable; loss of a job is an unpredictable event, tornado taking house, car wreck** Which statement best describes the effects of life events on family health risk? -normative and non-normative events pose potential risks to the health of families Which of the following best describes a normative life event that can increase the risk of illness? -a woman is pregnant with her first child One member of an older couple has just retired. This is considered a: -normative event and can increase the family’s risk for illness 4. What is genomic healthcare Which of the following best describes the use of genomic health care? -assists with determining familial health risks 5. Know what is the termination phase when conducting a home visit? Which nursing activity is part of the termination phase of a home visit? -summarizing accomplishments of the visit During which phase of the home visit process would it be appropriate for the nurse to review the home visit within the family? -Termination A home health nurse is preparing to terminate the first home visit with teenage parents and their new baby. Which of the following actions will the nurse take before leaving? Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 -Review the family’s learning and other accomplishments of the visit 6. How can empowerment help a family when caring for someone with an illness? A nurse wants to empower the family of a mother who has been newly diagnosed with breast cancer. Which of the following actions would the nurse most likely take? -teach the family how to navigate the health care system Nursing interventions and approaches for helping individuals and families to assume an active role in their care should focus on empowerment rather than on enabling. The underlying principle to empowerment is: -professional-client partnership 7. What should be the initial consideration made by a nurse when working with LGBT families? Which of the following should be the initial consideration made by a nurse who is working with lesbian, gay, bisexual, and transgendered (LGBT) families? -understanding of personal feelings of working with members of this community 8. What underlying cause might be found in autopsy reports which causes the most common cause of unnecessary death in the U.S? If underlying causes were listed on autopsy reports, which of the following would be the most common cause of unnecessary death in the united states? -Tobacco If underlying causes were listed on autopsy reports, which of the following would be the most common cause of unnecessary death in the United States? -Lack of exercise Ch. 22 Health risks across the lifespan 9. Know what a nurse would do to decrease the rate of obesity among children? A school nurse wants to decrease the rate of obesity among children. Which of the following actions in the community would be most effective? (QUIZ QUESTION) -involve the entire family in the planning and managing of nutrition, especially when a child in the family is obese. 10. What is the purpose of the Family and Medical Leave Act (FMLA)? A woman needs to take some time off from work to care for her invalid mother. Which of the following health policies allows her to take an extended leave from work to care for a family member? -Family and Medical Leave Act (FMLA) 11. What would a nurse look for in elder abuse? Which of the following situations would most likely indicate elder abuse? -A young man repeatedly steals money from his grandmother. Elderly clients should be assessed for signs of abuse. The illegal use of a person for another person’s profit is known as: -exploitation 12. Know the purpose of a medical home for children with a congenital defect? The nurse is performing developmental surveillance for children at a medical home. Which infants are most at risk for developmental delays? (SATA) -A child whose parent has a mental illness -A child raised by a single parent -A child with a lead level above 10 mg/dL Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 -A child with hypertonia or hypotonia 13. How does an eating disorder such as bulimia impact a woman with this diagnosis? Which statement about eating disorders is correct? Most women with bulimia are concerned with the shape and weight of their body. 14. Why are men less healthy than women? What is the underlying cause? Which of the following behaviors results in men being less healthy than women? QUIZ QUESTION -Reluctance to visit physicians Which of the following statements are true regarding the health-related vulnerabilities of men? SATA -fewer health services are emphasized for men -men are less likely to be honest about their symptoms -men do not participate in health care at the same level as women 15. Know why screening for type 2 diabetes is recommended for kids with a BMI from the 85 th to 95th percentile and its risk factors? A nurse is conducting a screening for type 2 diabetes for children attending a local school. In addition to an elevated BMI, which of the following risk factors should the nurse consider? -Family history of type 2 diabetes 16. What tertiary prevention best promotes health among middle-aged women with diabetes? A nurse is implementing a tertiary prevention program to promote health among middle-aged women with diabetes. Which of the following best describes the intervention being implemented by the nurse? -monitoring blood glucose levels closely and modifying diet accordingly 17. Know which aggregate is at high risk for having poor health outcomes? Which of the following terms is used to describe aggregates who are at high risk for having poor health outcomes because of limited resources? -vulnerable populations 18. What level of prevention testing for TB is considered? A nurse offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB. Which of the following levels of prevention is being used? -Secondary prevention 19. Know the purpose of case management when working in the community? A nurse who is providing diabetes screening at a community clinic discovers that a new client has type 2 diabetes mellitus. The nurse provides counseling, refers the client to an endocrinologist for initial assessment and treatment, arranges for the client to see someone regarding financial assistance, contacts the mobile van to arrange transportation, and sets up a follow-up appointment. Which of the following types of service do these actions represent? -case management A nurse is working as a case manager with a vulnerable population. Which of the following actions should the nurse do when providing care? -Be willing to enter into a long-term relationship with families Ch. 23 Health equity and care of vulnerable groups 20. Which factor has the largest impact on health disparities among all populations? Which factor has the largest impact on health disparities among all populations? Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 -Poverty 21. What intervention could help to increase resilience among new immigrants? A community health nurse would like to implement an intervention to increase lasting resilience among new immigrants. Which of the following actions should be taken by the nurse? -direct clients to English as second language courses 22. Know what risk factors face for being a member of the vulnerable population in a community? Which of the following is a characteristic of a vulnerable population? -Have worse outcomes and an increased sensitivity to risk factors than the general population A nurse is working with a vulnerable group experiencing multiple risk factors. Which of the following best describes this group? -Substance abusers who test positive for HIV 23. Know what a nurse might implement when addressing the asthma problem among school-aged children? Which of the following interventions would the nurse most likely implement when addressing the problem of asthma among school-aged children? (select all that apply) -Assess schools and day care centers for environmental “friendliness” -Develop home and environmental assessment guides 24. Know what are the unique needs of vulnerable groups? A nurse is working with a 17-year-old pregnant cocaine addict who is homeless. Which of the following best describes this client? -A vulnerable individual Which statements by a nurse demonstrate understanding of the unique needs of vulnerable groups? (select all that apply) -“I always address the problem that the client believes is the most important” -“I try to observe the client’s cultural traditions as I probe for signs of abuse” Ch. 24 Rural health and migrant health 25. What is the biggest risk factor facing migrant farm workers? A nurse is assessing the occupational health risks of a migrant farm worker. Which health risk is the nurse most likely to find? -increased exposure to chemicals and work-related injuries A nurse is caring for a migrant farm workers who has been working in the agricultural industry for the past 10 years. When questioned about environmental hazards, the client reports regular exposure to pesticides. Which of the following disorders in the client most likely to develop? -Cancer A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms? -pesticide poisoning 26. What barrier may a Hispanic farmworker encounter when working in a rural area when healthcare is needed? A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation? -“usually perceived as outsiders, they are from many countries and cultures” Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 In addition to those barriers faced by many residents in rural areas, what additional barrier to health care is a Hispanic migrant farmworker likely to encounter? -Absence of culturally competent care 27. Know what the most accurate description of a migrant farmworker is? Which of the following is the most accurate description of a migrant farmworker? -a person who moves from place to place to earn money performing seasonal agricultural work 28. Farmworkers face the risk of heatstroke; what are those symptoms? A migrant farmworker brings his daughter into the clinic with severe heat stroke from being out in the sun. The nurse explains the danger signs and stresses staying cool and drinking lots of water. The man seems to know this already. Which of the following best describes the most likely reason that this happened? -children may work on small farms because the family may need the additional income 29. Know why a rural environment provides increased teaching opportunities compared to an urban area? Which of the following conditions of the rural environment provides increased opportunities for teaching? -involvement in rural community activities provides more contact with community residents than in urban areas Chapter 25 Poverty, homelessness, teen pregnancy and mental illness 30. What is considered the most significant concern for nurses who work with high-school students? Which of the following is of the greatest concern for the nurse who works with high school students? -motor vehicle accidents 31. What vitamin should an individual take if considering pregnancy? A nurse is providing pre-conceptual counseling to a young woman. Which of the following supplements would the nurse most likely recommend? -folic acid 32. Know what would ensure good nutrition in newborn infants? Which of the following is the best way to ensure good nutrition in infants? -Breastfeeding daily 33. What intervention could a nurse provide to homeless individuals with non-healing wounds? The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets. Which of the following would be the best action to take to improve client outcomes? -offer daily access to a room with soap, water and bandages 34. Pregnant teens face many challenges; what findings would be concerning? A nurse is assessing a young, single pregnant woman. Which of the following findings would be of most concern to both mother and fetus? -Persistent homelessness 35. Know what factors contribute to a teenager for accessing prenatal care in the first trimester? Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. Which of the following best describes why he teenage girl has waited so long to come in prenatal care? (Select all that apply) QUIZ QUESTION -She was afraid her parents would pressure her to terminate the pregnancy -she kept holding the pregnancy would just go away -she dreads the gynecological examination A nurse is providing care to a pregnant teenager. Which of the following principles is the most important for the nurse to consider when providing care? -All teen pregnancies are considered high-risk 30 questions total Family systems theory** Man lived with adult son Man who has learning disability and mom has type 2 diabetes 30 week premie with -decreased vision -increased risk for asthma -decreased risk for neurological Chronic disease for kids -heart disease -arthritis -emphysena Nursing students have been assigned to set up a health fair for the homeless population in a large urban setting. Without any funds to pay for space, where should the health fair be located, assuming that all of the following site are available at no cost? -At the city’s homeless shelter, which is by policy vacant during the day A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which nursing actin is most appropriate? -Begin tests to determine the cause of the bleeding while asking about to her family concerns from nutrition to shelter for the night Nurses at a homeless clinic are concerned that homeless clients rarely return to have the nurses assess the finding of their tuberculosis (TB) skin tests. What should the clinic’s policy be regarding the screening test findings? -have homeless individuals read their TB skin test, if necessary, and mail in results on a postage-paid card coded to protect privacy Which is an example of tertiary prevention by a nurse? -Directly observing clients with active tuberculosis as they take their antitubercular medications Downloaded by Heather Sanchez (hchez2525@gmail.com) lOMoARcPSD|12989960 Which of the following families is at high risk for health problems? A man is currently unemployed and despairs about finding a position Which of the following clients would cause the nurse the most concern? The client who is employed and often works 12 hours a day without moving from the computer desk A nurse notes that the community has an unusually high prevalence of sexually transmitted infections among teens. Which of the following best describes a secondary prevention action the nurse could take? -Conducting a sexual behavior survey with the adolescents A nurse wants to promote improved health for obese children in the community. Which of the following best describes a tertiary prevention measure that the nurse would implement? -Establish lifestyle improvement programs through local youth organizations A nurse is providing contraceptive counseling to a female client. Which of the following is the most appropriate outcome of this counseling? -Ensure the individual is educated to make an informed choice about reproduction A nurse is implementing a tertiary prevention strategy related to pesticide exposure. Which of the following activities would the nurse complete? -Treat a client who has pesticide exposure to prevent complications. What action by the nurse can best ensure long-term positive health outcomes of poor pregnant teens and their children? -Developing programs that allow teen mothers to complete their education A nurse has just met the parents of a 10-year-old child who has been diagnoses with a congenital heart defect. When interviewing the parents, which of the following would be a priority question for the nurse to ask? -“Does your child have a medical home?” A nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which of the following theories is being use by the nurse? -Bioecological systems theory Which of the following social science theories is used by public health nursing to describe how environments and systems outside of the family influence the development of a child over time? -Bioecological systems theory Downloaded by Heather Sanchez (hchez2525@gmail.com)
